Hackam, David J
Hackam, David J is an individual health care provider with primary practice located at 1800 Orleans St , Baltimore MD 21287-0010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Hackam, David J can be contacted via phone (410) 955-2717.Contact Information
Primary practice address
1800 Orleans St
Baltimore MD 21287-0010
Phone: (410) 955-2717
Fax: (410) 502-5314
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | D78585 | Maryland |
Profile Details
NPI number | 1356315915 |
---|---|
LBN Legal business name | Hackam, David J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2006 |
Last updated | Mar 30th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356315915 | NPPES |
Pennsylvania | MEDICAID | 001897212 |
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